Re: BV, metronidazole allergy, no insurance

From: Braun, R. Daniel (rbraun@iupui.edu)
Tue Mar 19 06:24:04 2002


I concur with everything except the comments about the wrong foods. The "Wrong" foods are the cheaper ones. It is much more expensive to eat healthy. Dan

R. Daniel Braun, MD

There are strange things done in the midnight sun By the men who moil for gold; The Arctic trails have their secret tales That would make your blood run cold; The Northern Lights have seen queer sights, But the queerest they ever did see Was that night on the marge of Lake Lebarge I cremated Sam McGee. Robert W Service

-----Original Message----- From: ainsron@sbcglobal.net [mailto:ainsron@sbcglobal.net] Sent: Tuesday, March 19, 2002 1:43 AM To: Multiple recipients of list OB-GYN-L Subject: Re: BV, metronidazole allergy, no insurance

I'm not trying to be arrogant or unsympathetic to a patient's financial situation, but since when is it our responsibility to provide substandard treatment for patients because of their lack of resources? I think we should always be aware of what treatments cost our patients and give them the least expensive treatment that will give them the best chance of cure. Although it is certainly annoying, BV is not life-threatening. If she doesn't have the money for appropriate treatment, she can save up, borrow from family, apply for welfare, etc. I find it interesting that often the patients who complain the most about the cost of their medicines are also the smokers, the individuals who buy the latest vitamin fad at the health food store, the obese patient who buys all the wrong foods at the grocery store, etc. and they don't think twice about their discretionary spending, just the prescription drug costs. I may be off base with this particular patient, but the trend is something I also see in my own practice.

>I'm looking for treatment ideas for a client with recurrent BV, no
>prescription coverage, and a fixed drug reaction-type allergy to oral
>Flagyl. We have limited access to Cleocin vaginal samples. There's no
>patient assistance program for Cleocin. We are actively looking for
>opportunities for lifestyle changes that might reduce the incidence. I
>would appreciate any ideas.
>
>--
>Patricia K. Tessler, BSN, MSN, family nurse practitioner
>





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